Everett Public Schools
REQUEST TO EXCUSE STUDENT FROM HIV PREVENTION EDUCATION
I have attended the school’s/district’s presentation of the HIV prevention education program for my child’s (or legal ward’s) grade level.
I object to the participation of my child (or legal ward) in the HIV prevention education program and request that he/she be excused from participation in the ______ grade presentation.
I understand that that the HIV epidemic presents a serious threat to the general population, particularly to youth, and I have been offered resources to present information to my child/legal ward at home.
Child’s School
Name of Child/Legal Ward
Signature of Parent/Legal Guardian
Date
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